Provider Demographics
NPI:1326689670
Name:VILLARINO, MARGARITA ELSA (MD MPH)
Entity Type:Individual
Prefix:DR
First Name:MARGARITA
Middle Name:ELSA
Last Name:VILLARINO
Suffix:
Gender:F
Credentials:MD MPH
Other - Prefix:MS
Other - First Name:MARGARITA
Other - Middle Name:
Other - Last Name:VILLARINO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD MPH
Mailing Address - Street 1:31817 VIA DEL PASO
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:CA
Mailing Address - Zip Code:92596-8603
Mailing Address - Country:US
Mailing Address - Phone:678-595-6271
Mailing Address - Fax:
Practice Address - Street 1:976 LENZEN AVE STE 1700
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95126-2737
Practice Address - Country:US
Practice Address - Phone:669-287-8095
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-07
Last Update Date:2019-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1659142083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine